WAL-MART STORES EAST LP (NPI# 1053710566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053710566 |
| Entity Type | Organization |
| Organization Name | WAL-MART STORES EAST LP |
| Other Organization Name | WALMART PHARMACY 10-2907 |
| Practice Address |
3791 Nw 167th St Miami Gardens FL 33055-4510 |
| Mailing Address |
702 Sw 8th St Bentonville AR 72716-6209 |
| Practice Telephone | 3059141974 |
| Practice Fax Number | 3059141869 |
| Mailing Telephone | 4792772500 |
| Mailing Fax Number | 4792774331 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | SARAH LITTLE (DIRECTOR OF HEALTHCARE CONTRACTING) |
| Authorized Official Telephone | 4792772500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH28752 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014059200 | 05 | |
| PK | 2148675 | 01 |
| Other Name | Type Code |
|---|---|
| Walmart Pharmacy 10-2907 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657426 | Wal-mart Stores East Lp | Pharmacy | 14325 Sw 268th Ter, Homestead, FL 33032-7555 | 2018-01-25 |
| 1003323387 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 73 Fellowship, Mt Laurel, NJ 08054 | 2018-01-08 |
| 1033623236 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 820 Balmy Beach Dr, Apopka, FL 32703-0000 | 2017-11-27 |
| 1477065704 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 337 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-26 |
| 1841709516 | Wal-mart Stores East Lp | Pharmacy | 1109 W Corbett Ave, Swansboro, NC 28584-8461 | 2017-09-26 |
| 1396264305 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | Nec Landstar and Arbor Meadows Blvd, Orlando, FL 32801-0000 | 2017-09-12 |
| 1720506967 | Wal-mart Stores East Lp | Pharmacy | 955 S Woodland Blvd, Deland, FL 32720-0000 | 2017-09-08 |
| 1164944104 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 7360 Navarre Pkwy, Navarre, FL 32566-7752 | 2017-07-12 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1518498534 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5001 Nine Mile Rd, Richmond, VA 23223-5732 | 2017-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wal-Mart Stores East LP | 702 Sw 8th St, Bentonville, Arkansas 72716-0555 |
| Street Address |
3791 NW 167TH ST |
| City | MIAMI GARDENS |
| State | FL |
| Zip Code | 33055-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417965 | Shelia Goodman | Pharmacist | 3791 Nw 167th St, Miami Gardens, FL 33055-4510 | 2020-11-05 |
| 1558905026 | Jeissa Lizandra Concepcion | Pharmacist | 3791 Nw 167th St, Miami Gardens, FL 33055-4510 | 2019-10-29 |
| 1205479086 | Valencia Culmer | Pharmacist | 3791 Nw 167th St, Miami Gardens, FL 33055-4510 | 2019-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684240 | Alina De Leon Calvo | Behavior Technician | 18001nw 47 Ct, Miami Gardens, FL 33055 | 2020-03-13 |
| 1871133124 | Yoanna Gasca | Behavior Technician | 5380 Nw 201st Terr Lot 326, Miami Gardens, FL 33055 | 2020-01-14 |
| 1477107936 | Connie Reese-walker | Social Worker | 19100 Nw 51stave, Miami Gardens, FL 33055 | 2019-08-01 |
| 1104483981 | Yordano Santos | Behavior Technician | 4528 Nw 191 St, Miami Gardens, FL 33055 | 2019-05-28 |
| 1508420985 | Jackeline Hinojosa Leonard | Behavior Technician | 17101 Nw 57th Ave Apt 215, Miami Gardens, FL 33055 | 2019-04-30 |
| 1023535788 | Ashanty S Campbell | Behavior Technician | 5319 Nw 189th St, Miami Gardens, FL 33055 | 2017-08-24 |
| 1326560988 | Gabriela Cordoba | Behavioral Analyst | 21351 Nw 39 Ave., Miami Gardens, FL 33055 | 2017-07-14 |
| 1639609449 | Ysabel Cristina Borroto Merlo | Behavior Technician | 18927 Nw 45 Ave, Miami Gardens, FL 33055 | 2017-06-14 |
| 1164956447 | Yolanda Cruz | Behavior Technician | 5146 Nw 199 Lane, Miami Gardens, FL 33055 | 2017-04-13 |
| 1689114613 | Viviana Ramirez | Behavior Technician | 18605 Nw 52nd Path, Miami Gardens, FL 33055 | 2017-02-23 |
| Find all providers in zip 33055 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043697535 | Hello Pharmacy and Discount Inc | Pharmacy | 17845d Nw 27th Ave, Miami Gardens, FL 33056-3502 | 2015-05-04 |
| 1053721738 | Enukora Inc | Pharmacy | 18346 Nw 7th Ave, Miami Gardens, FL 33169-4438 | 2014-05-02 |
| 1336445659 | Cvh Pharmacy Discount Inc | Pharmacy | 4811 Nw 183rd St, Miami Gardens, FL 33055-2955 | 2011-02-03 |
| 1376849810 | Vip Pharmacy Inc | Pharmacy | 5669 Nw 195th Dr, Miami Gardens, FL 33055-6112 | 2011-02-01 |
| 1588768469 | Holiday Cvs LLC | Pharmacy | 3700 Nw 199th St, Miami Gardens, FL 33055-1444 | 2006-09-12 |
| 1598380826 | Jtj Medical Supply Inc | Pharmacy | 18356 Nw 47th Ave, Miami Gardens, FL 33055-2934 | 2020-06-12 |
| 1588033112 | Sir Charles Pharmacy, Inc. | Pharmacy | 17560 Nw 27th Ave, Suite 119, Miami Gardens, FL 33056-4014 | 2015-09-24 |
| 1063698470 | Holiday Cvs LLC | Pharmacy | 5601 Nw 183rd St, Miami Gardens, FL 33055-2305 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI GARDENS |
| Zip Code | 33055 |
Please comment or provide details below to improve the information on WAL-MART STORES EAST LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.